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CPT code 10180: Wound drainage, complex postoperative infection2026 Medicare rate & RVUs in Puerto Rico

Report complex incision and drainage when a postoperative wound infection requires operative opening and drainage rather than treatment of a routine skin abscess.

CMS RVU26DEffective Oct 1, 2026One payment locality5.7K Medicare services in 2024

In Puerto Rico, Medicare pays $290.16 for 10180 in the office and $176.36 when it’s performed in a hospital or facility.

$290.16Office (non-facility)
$176.36Hospital or facility
+0.7%vs the national office rate ($288.25)

Check a contract rate as a % of Medicare · 10180 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 10180 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 10180 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 10180 covers

This service involves opening a previously operated wound to drain an infection that requires complex incision and drainage. A surgeon or other physician managing the surgical wound may perform it in an office, outpatient department, or facility. The work centers on the infected postoperative site; it is distinct from draining an uncomplicated skin abscess or evacuating a noninfected fluid collection.

Report 10180 when the operative note supports drainage of a complex infection in a postoperative wound. CMS assigns a 10-day global period, which includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. CMS does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Puerto Rico compares for 10180

Across 109 of 109 payment localities, the office rate for 10180 runs from $252.41 in Arkansas to $375.69 in San Benito County, CA. Puerto Rico pays $290.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

10180 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$290.16
  2. Los Angeles, CA · California$321.71+$31.55
  3. Washington, DC area · District of Columbia$329.20+$39.04
  4. Miami, FL · Florida$321.85+$31.69
  5. Chicago, IL · Illinois$311.38+$21.22
  6. Manhattan, NY · New York$334.70+$44.54
  7. Alaska · Alaska$330.95+$40.79

Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.

Every other payment area

10180 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$256.41$157.92
ArkansasArkansas$252.41$155.72
ArizonaArizona$279.75$170.67
Bakersfield, CACalifornia$302.03$178.66
Chico, CACalifornia$300.66$177.29
El Centro, CACalifornia$300.74$177.38
Fresno, CACalifornia$300.66$177.29
Hanford, CACalifornia$300.66$177.29

10180 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$252.41

$338.18

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
10180 office rate range by state
State / territoryOffice rate rangeLocalities
AK$330.951
AL$256.411
AR$252.411
AZ$279.751
CA$300.66–$375.6929
CO$298.081
CT$308.401
DC$329.201
DE$284.581
FL$287.99–$321.853
GA$270.21–$294.982
GU$308.171
HI$308.171
IA$261.461
ID$263.711
IL$280.54–$311.384
IN$265.301
KS$261.081
KY$264.991
LA$264.92–$278.912
MA$296.48–$327.652
MD$289.99–$329.203
ME$266.20–$280.322
MI$273.29–$292.822
MN$282.201
MO$260.67–$278.843
MS$256.551
MT$288.221
NC$269.041
ND$278.331
NE$262.711
NH$294.231
NJ$310.96–$325.582
NM$275.281
NV$285.661
NY$273.45–$344.535
OH$271.271
OK$263.481
OR$282.50–$307.012
PA$271.20–$300.892
PR$290.161
RI$294.361
SC$270.791
SD$277.161
TN$262.611
TX$269.36–$297.918
UT$274.741
VA$280.00–$329.202
VI$290.161
VT$278.031
WA$295.66–$333.592
WI$268.431
WV$269.681
WY$283.911

See 10180 in every payment locality

How the 10180 rate is calculated

Each of 10180’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 10180

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.24

2.24 RVUs× 1.000 GPCI

Practice expense5.89

5.89 RVUs× 1.000 GPCI

Malpractice0.50

0.50 RVUs× 1.000 GPCI

Adjusted RVUs

8.6300

Conversion factor

$33.4009

Medicare rate

$288.25

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,116

Code
10180
Physician work
2.24
Practice expense
5.89
Malpractice
0.50

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 10180 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work2.24× 1.0002.2400
Practice expense5.89× 1.0115.9548
Malpractice0.50× 0.9850.4925
Total RVUs8.6873
Conversion factor× 33.4009

Office rate, Puerto Rico$290.16

Office: (2.24 × 1 + 5.89 × 1.011 + 0.5 × 0.985) × $33.4009 = $290.16

Facility: (2.24 × 1 + 2.52 × 1.011 + 0.5 × 0.985) × $33.4009 = $176.36

Open 10180 in the RVU calculator

Payment rules and modifiers for 10180

10180 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 10180

Wound drainage, complex postoperative infection

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 10180

Wound drainage, complex postoperative infection

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

10180 without 51 · national office

$288.25

Wound drainage, complex postoperative infection

10180-51 · Second procedure: 50%

$144.13

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 10180

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 10180
CodeHow it relatesOffice range, Puerto Rico
Used instead
10060Abscess drainage, simple, single abscessFor incision and drainage of a cutaneous or subcutaneous abscess rather than a complex postoperative wound infection.$129.46
10061Abscess drainage, complex or multipleFor complicated or multiple cutaneous abscesses when the service is not drainage of a postoperative wound infection.$221.37
10140Fluid drainage, hematoma, seroma, or collectionFor drainage of a hematoma, seroma, or other fluid collection instead of an infected postoperative wound.$175.52

How 10180 has changed in Puerto Rico

10180 · Office / nonfacility

$290.16

Effective 2026-10-01

The base rate is $33.45 higher than on 2025-10-01, moving from $256.71 to $290.16 (13.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $256.71changed to$290.16

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.30 changed to 2.24
    • Practice expense RVU 5.09 changed to 5.89
    • Malpractice RVU 0.52 changed to 0.50
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $264.52changed to$256.71

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.11 changed to 5.09
    • Malpractice RVU 0.51 changed to 0.52

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $260.20changed to$264.52

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $269.15changed to$260.20

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.10 changed to 5.11
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $268.05changed to$269.15

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $273.86changed to$268.05

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.08 changed to 5.10
    • Malpractice RVU 0.50 changed to 0.51
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $272.28changed to$273.86

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.99 changed to 5.08
    • Malpractice RVU 0.48 changed to 0.50

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $264.54changed to$272.28

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.51 changed to 4.99
    • Malpractice RVU 0.49 changed to 0.48
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $257.51changed to$264.54

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.33 changed to 4.51
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $255.05changed to$257.51

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.26 changed to 4.33
    • Malpractice RVU 0.50 changed to 0.49

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $223.09changed to$255.05

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.20 changed to 4.26
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $193.86changed to$223.09

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.21 changed to 4.20
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $194.06changed to$193.86

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.19 changed to 4.21

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $193.09changed to$194.06

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $190.48changed to$193.09

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.18 changed to 4.19
    • Malpractice RVU 0.46 changed to 0.50
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $189.81changed to$190.48

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.66 changed to 4.18
    • Malpractice RVU 0.48 changed to 0.46
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $189.81

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$290.16$176.36RVU26D
2026-07-01$290.16$176.36RVU26C
2026-04-01$290.16$176.36RVU26B
2026-01-01$290.16$176.36RVU26A
2025-10-01$256.71$176.26RVU25D
2025-07-01$256.71$176.26RVU25C
2025-04-01$256.71$176.26RVU25B
2025-01-01$256.71$176.26RVU25A
2024-10-01$264.52$179.72RVU24D
2024-07-01$264.52$179.72RVU24C
2024-04-01$264.52$179.72RVU24B
2024-03-09$264.52$179.72RVU24AR
2024-01-01$260.20$176.78RVU24A
2023-10-01$269.15$181.37RVU23D
2023-07-01$268.05$180.96RVU23C
2023-04-01$268.05$180.96RVU23B
2023-01-01$268.05$180.96RVU23A
2022-10-01$273.86$182.47RVU22D
2022-07-01$273.86$182.47RVU22C
2022-04-01$273.86$182.47RVU22B
2022-01-01$273.86$182.47RVU22A
2021-10-01$272.28$182.59RVU21D
2021-07-01$272.28$182.59RVU21C
2021-04-01$272.28$182.59RVU21B
2021-01-01$272.28$182.59RVU21A
2020-10-01$264.54$184.88RVU20D
2020-07-01$264.54$184.88RVU20C
2020-04-01$264.54$184.88RVU20B
2020-01-01$264.54$184.88RVU20A
2019-10-01$257.51$184.21RVU19D
2019-07-01$257.51$184.21RVU19C
2019-04-01$257.51$184.21RVU19B
2019-01-01$257.51$184.21RVU19A
2018-10-01$255.05$185.09RVU18D
2018-07-01$255.05$185.09RVU18C
2018-04-01$255.05$185.09RVU18B
2018-01-01$255.05$185.09RVU18AR1
2017-10-01$223.09$165.34RVU17D
2017-07-01$223.09$165.34RVU17C
2017-04-01$223.09$165.34RVU17B
2017-01-01$223.09$165.34RVU17A
2016-10-01$193.86$146.41RVU16D
2016-07-01$193.86$146.41RVU16C
2016-04-01$193.86$146.41RVU16B
2016-01-01$193.86$146.41RVU16A
2015-10-01$194.06$146.94RVU15D
2015-07-01$194.06$146.94RVU15C
2015-04-01$193.09$146.21RVU15B
2015-01-01$193.09$146.21RVU15A
2014-10-01$190.48$144.37RVU14D
2014-07-01$190.48$144.37RVU14C
2014-04-01$190.48$144.37RVU14B
2014-01-01$190.48$144.37RVU14A
2013-10-01$189.81$141.60RVU13D
2013-07-01$189.81$141.60RVU13C
2013-04-01$189.81$141.60RVU13B
2013-01-01$189.81$141.60RVU13AR

Price 10180 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

10180 billing questions

When should 10180 be selected instead of 10060 or 10061?

Use 10180 for complex drainage of an infected postoperative wound. Codes 10060 and 10061 describe drainage of cutaneous or subcutaneous abscesses, not the postoperative wound infection service.

How does 10180 differ from 10140?

10180 is for a complex infection in a postoperative wound. 10140 is used to drain a hematoma, seroma, or other fluid collection.

What documentation supports reporting 10180?

Document the prior operative site, the wound infection, and the complex incision-and-drainage work performed. The record should distinguish an infected postoperative wound from a simple abscess or an uninfected fluid collection.

Are related postoperative visits included?

Yes. CMS assigns 10180 a 10-day global period, which includes related postoperative visits during those 10 days.

Can modifier 50 or an assistant-at-surgery claim be used?

Modifier 50 is inappropriate for 10180. CMS does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

How are other procedures in the same session paid?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures performed in the same session are subject to a 50% reduction.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 10180PPRRVU2026_Oct_nonQPP.csv, line 1,116 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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